Provider Demographics
NPI:1235602327
Name:ATLAS MD CONCIERGE FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:ATLAS MD CONCIERGE FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JIM
Authorized Official - Last Name:UMBEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-260-6454
Mailing Address - Street 1:10500 E BERKELEY SQUARE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-6816
Mailing Address - Country:US
Mailing Address - Phone:316-260-6454
Mailing Address - Fax:316-260-8479
Practice Address - Street 1:10500 E BERKELEY SQUARE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-6816
Practice Address - Country:US
Practice Address - Phone:316-260-6454
Practice Address - Fax:316-260-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1548481542OtherNPI
KS1023213147OtherNPI
KS1841532637OtherNPI
KS1831395391OtherNPI
KS1750819868OtherNPI